Andrea Kmiec

NPI 1003883414 - Physician Assistant - 363A00000X

NPI Details
NPI 1003883414
Gender Female
Enumeration Date 03/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
44201 DEQUINDRE RD
TROY MI, 48085-1117, US
Phone (248) 964-5000
Fax
Business Location
3601 W 13 MILE RD
400-FSC/PCS
ROYAL OAK MI, 48073-6712, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601003660
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According to our database, Andrea Kmiec NPI is 1003883414, taxonomy code is 363A00000X and license number is 5601003660, license state is located at Michigan. Andrea Kmiec physically located at 44201 Dequindre Rd, Troy MI, 48085-1117. NPI Number Andrea Kmiec has the Individual type.

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1003883414 NPI number is provided on an as is basis without warranty of any kind. 1003883414 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Kmiec are for informational purposes only.